| NPI | 1306049556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL pmh1056) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012650) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-09-05 |